Active NPI
Keri McClain, LO
- Optician
- Brooklyn, CT
National Provider Identifier
1134933898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1924
- Practice address
- 450 Providence Rd
Brooklyn, CT 06234-1823 - Phone
- (860) 412-5141
- Fax
- (860) 774-1656
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1924 | CT | Primary |
Addresses
Primary practice location
450 Providence Rd
Brooklyn, CT 06234-1823
Mailing address
450 Providence Rd
Brooklyn, CT 06234-1823
Phone (860) 412-1541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1924 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1134933898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PROVIDENCE RD",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062341823",
"telephone_number": "860-412-1541",
"fax_number": "860-774-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PROVIDENCE RD",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062341823",
"telephone_number": "860-412-5141",
"fax_number": "860-774-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "KERI",
"credential": "LO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.